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General NPI Number Information
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NPI Number | 1669760989
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Entity Type | Individual
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Provider Name | KAREN THERIOT NP
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Gender | Female
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Dates
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Enumeration Date | 07/20/2011
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 4046 DOWLEN RD
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City | BEAUMONT
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State | TX
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Zip | 77706-6849
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Country | US
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Telephone | 409-225-5924
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Fax | 406-239-5454
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Provider Business Mailing Address
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Address Line | 4046 DOWLEN RD
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City | BEAUMONT
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State | TX
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Zip | 77706-6849
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Country | US
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Telephone | 409-225-5924
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Fax | 406-239-5454
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 584753
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License Number State | TX
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